UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000047166
Receipt number R000052678
Scientific Title A randomized controlled trial on the effectiveness of internet-delivered parent-child interaction therapy in children with attention-deficit/hyperactivity disorder
Date of disclosure of the study information 2022/03/16
Last modified on 2025/03/28 11:29:56

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Basic information

Public title

A randomized controlled trial on the effectiveness of internet-delivered parent-child interaction therapy in children with attention-deficit/hyperactivity disorder

Acronym

A randomized controlled trial on the effectiveness of internet-delivered parent-child interaction therapy in children with attention-deficit/hyperactivity disorder

Scientific Title

A randomized controlled trial on the effectiveness of internet-delivered parent-child interaction therapy in children with attention-deficit/hyperactivity disorder

Scientific Title:Acronym

A randomized controlled trial on the effectiveness of internet-delivered parent-child interaction therapy in children with attention-deficit/hyperactivity disorder

Region

Japan


Condition

Condition

Children diagnosed with attention-deficit/hyperactivity disorder (ADHD) and their caregivers

Classification by specialty

Pediatrics Psychiatry

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Examining the effectiveness of I-PCIT on children with ADHD and their caregivers.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

ECBI (Eyberg Child Behavior Inventory) intensity scale at 16 weeks after starting the treatment

Key secondary outcomes

ECBI intensity scale at 22 weeks after starting treatment and the following rating scale at 16 and 22 weeks after starting treatment

-CBCL(Child Behavior Checklist)
-SESBI-R(Sutter-Eyberg Student Behavior Inventory-Revised)
-ADHD-RS(ADHD Rating Scale-4)
-PNPS(Positive and Negative Parenting Scale)
-BDI-2(Beck Depression Inventory-2)
-PSI-SF(Parental Stress Index-Short Form)
-Confidence in parenting


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

NO

Institution consideration


Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Behavior,custom

Interventions/Control_1

<I-PCIT>
(1) I-PCIT is conducted according to the "Parent-Child Interaction Therapy Protocol 2011". This protocol is translated into Japanese with the permission of Sheila Eyberg et al, the developers of PCIT.

(2)One or two therapists will conduct the I-PCIT. The therapists should have completed the PCIT Initial Workshop. The number of sessions varies from case to case depending on the caregiver's skill level and the child's behavioral status, but the average number of sessions is 12 to 20. The co-therapist monitors the fidelity of the main therapist's procedures and provides feedback based on a treatment completion checklist.

(3) Individualized intervention for each parent and child.

(4)The program consists of two parts. In the first half of the program, Child-Directed Interaction (CDI), caregivers are coached on how to talk to their children through play situations to improve and strengthen parent-child interaction.

(5)After the CDI skills have reached the mastery criteria, we move on to Parent-Directed Interaction (PDI), which focuses on coaching caregivers on how to give effective commands and how to respond consistently when children comply and when they do not. PDI focuses on increasing the child's listening behavior and reducing problem behaviors.

(6) Treatment is terminated when the caregiver's CDI and PDI skills reach the mastery criteria specified in the treatment protocol, the ECBI score is 112 or lower, and the caregiver demonstrates confidence in parenting.

(7) After the completion of the I-PCIT, a follow-up session (one time only, 60 minutes) will be conducted after a period of 6 weeks.

Interventions/Control_2

control group - treatment as usual

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

4 years-old <=

Age-upper limit

5 years-old >=

Gender

Male and Female

Key inclusion criteria

(1) The child's age is 4 to 5 years old.
(2) The child was diagnosed as ADHD in DSM-5 by a child psychiatrist or pediatrician.
(3) The child is not receiving any medication or psychotherapy for ADHD or any mental developmental disorder at the time of entry into the study.
(4) The caregiver and the child do not have severe physical disabilities.
(5) The child has externalizing symptoms (aggressive behavior, hyperactivity, etc.), and the caregiver feels some difficulty in raising the child and interacting with the child (ECBI intensity score of 124 or higher).
(6) The caregiver's age is between 20 and 60 years old.
(7) The caregiver is able to speak, read, and write in Japanese and is raising the child in Japanese.
(8) Both caregivers and preschool staff are willing to participate in the study.
(9) Have an Internet environment and devices that allow them to participate in online sessions using a videoconferencing system.
(10) The patient has obtained permission from the attending physician to participate in the study.

Key exclusion criteria

(1) The caregiver has intellectual disability (22 or more wrong answers on JART-25).
(2) The caregiver has serious suicidal ideation (score of 2 or more on BDI-II item 9).
(3) The child has severe autistic tendency. (T score of 76 or more on SRS-2).
(4) When the child has difficulty in understanding simple instructions in daily life.
(5) Cases in which there is abuse that requires urgent attention at the time of initiation of treatment, and in which the perpetrator of domestic violence is living with the child.
(6) Cases of sexual abuse in which the perpetrator is a caregiver who is scheduled to undergo I-PCIT.

Target sample size

46


Research contact person

Name of lead principal investigator

1st name Haruo
Middle name
Last name Fujino

Organization

Osaka University Hospital

Division name

Pediatrics

Zip code

565-0871

Address

2-2, Yamadaoka, Suita, Osaka

TEL

06-6879-3863

Email

fjinoh@kokoro.med.osaka-u.ac.jp


Public contact

Name of contact person

1st name Masako
Middle name
Last name Kawasaki

Organization

Japan PCIT Training Center

Division name

Clinical department

Zip code

162-0056

Address

MH Bldg.1F, 9-4, Wakamatsu-cho, Shinjuku-ku, Tokyo

TEL

03-6380-0933

Homepage URL


Email

kawasaki@pcittc-japan.com


Sponsor or person

Institute

Osaka University Hospital

Institute

Department

Personal name



Funding Source

Organization

Kobayashi Aoitori Foundation

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Osaka University Research Review Committee

Address

2-2, Yamadaoka, Suita city, Osaka

Tel

06-6210-8289

Email

rinri@hp-crc.med.osaka-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2022 Year 03 Month 16 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

46

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures

Primary outcomes
ECBI (Eyberg Child Behavior Inventory) intensity scale at 16 weeks after starting the treatment

Secondary outcomes
ECBI intensity scale at 22 weeks after starting treatment and the following rating scale at 16 and 22 weeks after starting treatment

-CBCL(Child Behavior Checklist)
-SESBI-R(Sutter-Eyberg Student Behavior Inventory-Revised)
-ADHD-RS(ADHD Rating Scale-4)
-PNPS(Positive and Negative Parenting Scale)
-BDI-2(Beck Depression Inventory-2)
-PSI-SF(Parental Stress Index-Short Form)
-Confidence in parenting

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2022 Year 02 Month 17 Day

Date of IRB

2022 Year 03 Month 18 Day

Anticipated trial start date

2022 Year 03 Month 16 Day

Last follow-up date

2027 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete

2024 Year 08 Month 20 Day

Date analysis concluded



Other

Other related information



Management information

Registered date

2022 Year 03 Month 14 Day

Last modified on

2025 Year 03 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000052678